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Argon Laboratories Sample Receipt Checklist <br /> Client Name �Y-o�'�`� �NRLYSrS Date &Time Received ( 1 !g <br /> /&Z- <br /> Project <br /> az 13 15 <br /> Project Name 3AV-m A �E? �Vg�E Client Project Number -�-`/`/--- <br /> Received By t+!-p_A-771 Matrix Water Sol] <br /> 1 <br /> Sample Camer Client Laboratory 1 FedEx 1 UPS <br /> Argon Labs Project Number C C>&L( 31 <br /> Shipping Container 1 Cooler in good condition? Yes No NIA c/ <br /> Samples received under refrigeration? Yes `� No <br /> Chain of Custody Present? Yes No <br /> Chain of Custody signed by all parties? Yes ✓ No <br /> Chain of Custody matches all sample labels? Yes � No <br /> Samples received in proper containers? Yes `�No <br /> Samples received intact? Yes No <br /> Sufficient sample volume for requested tests? Yes `fNo <br /> Samples received within holding time? Yes No <br /> Do samples contain proper preservative? Yes No NIA <br /> Do VOA vials contain zero headspace? Yes ---�Nlo (None submitted____) <br /> ANY "No" RESPONSE MUST BE DETAILED IN THE COMMENTS SECTION BELOW <br /> Date Client Contacted Person Contacted <br /> Contacted by Subject <br /> Comments <br /> Acton Taken <br />